Provider Demographics
NPI:1982941365
Name:GALATI, ELIZABETH NICOLE (PT, DPT, CLT)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:NICOLE
Last Name:GALATI
Suffix:
Gender:F
Credentials:PT, DPT, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1445 N STATE PKWY
Mailing Address - Street 2:APT 2104
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-1565
Mailing Address - Country:US
Mailing Address - Phone:630-740-7347
Mailing Address - Fax:
Practice Address - Street 1:233 W NORTH AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-4637
Practice Address - Country:US
Practice Address - Phone:312-229-0031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-06
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.018099225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist